|
<br />- -- ---- &,.......,.L~....'""~.-LUl"t.,
<br />
<br />The undersigned understands that this permit may be subject to "deed restrictions" which
<br />may be more restrictive than City regulations. The undersigned assumes responsibility for
<br />compliance with any applicable deed restrictions.
<br />B, UNLICENSED CONTRACTORS AND CONTRACTOR RESfONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they may be required
<br />to be licensed in'accordance with st~te and local regulations. If the contractor is not
<br />licensed as required by law, both the owner and contractor may be cited for a misdemeanor
<br />violation under state law. If the owner or intended contractor are uncertain as to what
<br />licensing requirements may apply for the intended work; they are advised to contact the
<br />City of Zephyrhills Building Department, 813-788-6611.
<br />Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
<br />contractor(s) sign portions of the "Contractor Sections" of this application for which they
<br />will be responsible. If you, as the owner signs as the contractor, you ace indicating that
<br />you, rather than the contractor, are responsible for the work. If the contractor wishes
<br />you to sign as contraptor that may be an indication that he is not properly licensed and is
<br />not entitleq to permitting privileges in the City of Zephyrhills.
<br />C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />D, CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction
<br />lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
<br />and Consumer Affairs, If the applicant is someone other that the "owner", I cerlfy that I
<br />have obtained a copy of the above described document and promise in good faith to deliver
<br />it to the "owner" prior to commencement. J
<br />E, CONTRACTOR' S/OWNER' S AFFIDAVIT
<br />I certify that all the information in this application is accurate and that all work will
<br />be done in compliance with all applicable laws regulating constrUction, zoning, and land
<br />development. -
<br />Application is hereby made to obtain a permit to do work and installation as indicated. I
<br />certify that no work or installation has commenced prior to issuance of a permit and that
<br />all work will be performed to meet standards of all laws regulating construction, City
<br />codes, zoning regulations, and land development regulations in the juriSdiction. I also
<br />certify that 'I understand that the regulations of other governmental agencies may apply to
<br />the intended work, and that it is my responsibility to identify what actions I must take to
<br />be in compliance. Such agencies include but are not limited to: *Department of
<br />Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally S~nsitive
<br />Lands, Water/Wastewater Treatment
<br />*Southwest Florida Water Management District-Wells, Cypxess Bayheads, Wetland Areas,
<br />Altering Watercourses
<br />*Army Corps of Bngineers-Seawalis, Docks, Navigable Waterways
<br />*Department of Health , Rehabilitative Services, Environmental Health Unit-Wells,
<br />Wastewater Treatment, Septic Tanks
<br />*U.S. Environmental Protect.1on Agency-Asbestos abatement
<br />I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.H, it is
<br />understood that a drainage plan addressing a "compensating'volume" will be submitted which
<br />is prepared by a professional engineer registered in the State of Florida prior to permit
<br />issuance.
<br />A permit issued shall be construed to be a license to proceed with the work and not as
<br />authority to violate, cancel, alter, or set aside any .provisions of the technical codes,
<br />nor shall issuance of a permit prevent the Building Official from thereafter requiring a
<br />corr.ction of errors in plans, construction, or violations of any code. Every permit
<br />issued shall become invalid unless the work authorized by such permit is commence~ within
<br />six months of issuance, or if work authorized by the permit is suspended or abandoned for a
<br />period of six months after the time the work 1s commenced. One 90 day extension of time
<br />may be allowed for the permit with fee charge of $15.00. The extension shall be requested
<br />in writing to the Building Official. An approved inspection must be logged during each six
<br />month period, or the project will be considered abandoned.
<br />WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTIC~ OF COMMENCEMENT .MAY RESULT IN YOUR
<br />PAYING TWICE tOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA,NCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENC&HENT. JOBS UNDER
<br />$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NQTICE OF COMHENCEMENTH.
<br />
<br />
<br />-tuY- f PEP
<br />
<br />SIGNATURE, CONTRACTOR
<br />
<br />STATE OF FLP.RlPJ\
<br />COUNTY OF -\,-\3l\S hcr'oV1l
<br />The foregoing instrument was acknowledged
<br />Befo;:e me {tifJ ~ day of .!,,~ ' ;).{)i)).
<br />by lo,.., ~6~~~o^ . .
<br />.!tV: (name of person acknolfledged)
<br />~who is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />idnot take an oath.
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />The foregoing instrument was acknowledged
<br />Before me this -Jiay of , 19 ~
<br />by
<br />. (n~e of person acknowledged)
<br />~ho is personally known to me, or
<br />
<br />o who has produced
<br />(type of identification)
<br />and who [Jdid ~id not take an oath
<br />
<br />)
<br />
<br />
<br />Signature of person ta.king acknowledgement
<br />
<br />Signature of per.on taking acknowledgment
<br />
<br />II {c- '( (; tQ. /1.1 t.. 'I I'Ve 1/
<br />Name typed, printed or stamped
<br />
<br />Name typed, printed or stamped
<br />
|